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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45777/psn-pdf
    January 11, 2017 - Disclosure of adverse events in pediatrics. January 11, 2017 McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. Pediatrics. 2016;138(6);e20163215. https://psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics Op…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44097/psn-pdf
    June 10, 2015 - Hospital nurses' perceptions of human factors contributing to nursing errors. June 10, 2015 Roth C, Wieck L, Fountain R, et al. Hospital nurses' perceptions of human factors contributing to nursing errors. J Nurs Adm. 2015;45(5):263-9. doi:10.1097/NNA.0000000000000196. https://psnet.ahrq.gov/issue/hospital-nurses-…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44602/psn-pdf
    November 25, 2015 - Interorganizational complexity and organizational accident risk: a literature review. November 25, 2015 Milch V, Laumann K. Interorganizational complexity and organizational accident risk: A literature review. Safety Sci. 2015;82:9-17. doi:10.1016/j.ssci.2015.08.010. https://psnet.ahrq.gov/issue/interorganizationa…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40164/psn-pdf
    February 15, 2011 - Patient risk factors for medical injury: a case–control study. February 15, 2011 Marbella AM, Laud PW, Brasel KJ, et al. Patient risk factors for medical injury: a case-control study. BMJ Qual Saf. 2011;20(2):187-93. doi:10.1136/bmjqs.2009.032664. https://psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-ca…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74031/psn-pdf
    November 03, 2021 - Emergency department crowding: the canary in the health care system. November 3, 2021 doi:10.1056/CAT.21.0217. https://psnet.ahrq.gov/issue/emergency-department-crowding-canary-health-care-system Emergency department (ED) overcrowding and boarding can result in worse patient outcomes and increased risk of medical…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39552/psn-pdf
    May 26, 2010 - Expanding what we know about off-peak mortality in hospitals. May 26, 2010 Hamilton P, Mathur S, Gemeinhardt G, et al. Expanding what we know about off-peak mortality in hospitals. J Nurs Adm. 2010;40(3):124-8. doi:10.1097/NNA.0b013e3181d0426e. https://psnet.ahrq.gov/issue/expanding-what-we-know-about-peak-mortali…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41827/psn-pdf
    November 21, 2012 - Dementia and risk of adverse warfarin-related events in the nursing home setting. November 21, 2012 Tjia J, Field T, Mazor KM, et al. Dementia and risk of adverse warfarin-related events in the nursing home setting. Am J Geriatr Pharmacother. 2012;10(5):323-30. doi:10.1016/j.amjopharm.2012.09.003. https://psnet.ah…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46316/psn-pdf
    August 02, 2017 - Defending a "never event." August 2, 2017 Shepperd JR. Defending a "Never Event". J Healthc Risk Manag. 2017;37(1):17-22. doi:10.1002/jhrm.21277. https://psnet.ahrq.gov/issue/defending-never-event Surgical fires are considered a never event. This commentary provides an overview of surgical fires, explains element…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35715/psn-pdf
    February 15, 2006 - Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. February 15, 2006 Wong DH; Gallegos Y; Weinger MB; Clack S; Slagle J; Anderson CT. https://psnet.ahrq.gov/issue/changes-intensive-care-unit-nurse-task-activity-after-installation-thir…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42828/psn-pdf
    December 18, 2013 - Texting while doctoring: a patient safety hazard. December 18, 2013 Sinsky CA, Beasley JW. Texting while doctoring: a patient safety hazard. Ann Intern Med. 2013;159(11):782-3. doi:10.7326/0003-4819-159-11-201312030-00012. https://psnet.ahrq.gov/issue/texting-while-doctoring-patient-safety-hazard This commentary r…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43621/psn-pdf
    October 22, 2014 - Multidisciplinary in-hospital teams improve patient outcomes: a review. October 22, 2014 Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int. 2014;5(Suppl 7):S295-303. doi:10.4103/2152-7806.139612. https://psnet.ahrq.gov/issue/multidisciplinary-hospital-teams-improve…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44964/psn-pdf
    March 09, 2016 - EHRs in the ER: as doctors adapt, concerns emerge about medical errors. March 9, 2016 Luthra S. https://psnet.ahrq.gov/issue/ehrs-er-doctors-adapt-concerns-emerge-about-medical-errors Many emergency departments have recently implemented electronic health records, which has introduced new safety hazards. This news…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38695/psn-pdf
    June 10, 2009 - Medical students benefit from learning about patient safety in an interprofessional team. June 10, 2009 Anderson E, Thorpe L, Heney D, et al. Medical students benefit from learning about patient safety in an interprofessional team. Med Educ. 2009;43(6):542-52. doi:10.1111/j.1365-2923.2009.03328.x. https://psnet.ah…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39690/psn-pdf
    July 21, 2010 - Characteristics of quality and patient safety curricula in major teaching hospitals. July 21, 2010 Pingleton SK, Davis DA, Dickler RM. Characteristics of quality and patient safety curricula in major teaching hospitals. Am J Med Qual. 2010;25(4):305-11. doi:10.1177/1062860610367677. https://psnet.ahrq.gov/issue/ch…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38219/psn-pdf
    May 24, 2015 - The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. May 24, 2015 Schwappach DL, Boluarte TA. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. Swiss Med Wkly. 2009;139(1-2):…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42857/psn-pdf
    January 15, 2014 - The landscape of inappropriate laboratory testing: a 15- year meta-analysis. January 15, 2014 Zhi M, Ding EL, Theisen-Toupal J, et al. The landscape of inappropriate laboratory testing: a 15-year meta- analysis. PLoS One. 2013;8(11):e78962. doi:10.1371/journal.pone.0078962. https://psnet.ahrq.gov/issue/landscape-i…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50553/psn-pdf
    October 16, 2019 - Impact of an electronic health record transition on chemotherapy error reporting October 16, 2019 Hess E, Palmer SE, Stivers A, et al. Impact of an electronic health record transition on chemotherapy error reporting. J Oncol Pharm Pract. 2019:1078155219870590. doi:10.1177/1078155219870590. https://psnet.ahrq.gov/i…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36411/psn-pdf
    December 22, 2010 - Minimising human error in malaria rapid diagnosis: clarity of written instructions and health worker performance. December 22, 2010 Rennie W, Phetsouvanh R, Lupisan S, et al. Minimising human error in malaria rapid diagnosis: clarity of written instructions and health worker performance. Trans R Soc Trop Med Hyg. 2…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45513/psn-pdf
    October 26, 2016 - A national physician survey of diagnostic error in paediatrics. October 26, 2016 Perrem LM, Fanshawe TR, Sharif F, et al. A national physician survey of diagnostic error in paediatrics. Eur J Pediatr. 2016;175(10):1387-92. doi:10.1007/s00431-016-2772-0. https://psnet.ahrq.gov/issue/national-physician-survey-diagno…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46605/psn-pdf
    January 24, 2018 - The impact of interruptions on medication errors in hospitals: an observational study of nurses. January 24, 2018 Johnson M, Sanchez P, Langdon R, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. doi:10.1111/jonm.12486. https:…
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